Regulation size Armed Forces Expeditionary Military Medal.

The Armed Forces Expeditionary Medal (AFEM) is a military award of the United States military which was first created in 1961 by Executive Order of President John Kennedy. The decoration is awarded for participation in "any military campaign of the United States for which no other service medal is authorized". Additional awards of the medal are denoted by service stars with the arrowhead device also authorized for United States Army personnel who are awarded the decoration through participation in an airborne or amphibious assault.

Attachments: Bronze star and Silver star.